A 46-year-old man presented with a 6-month history of epigastric burning. After an upper GI series reportedly read as normal, the patient was treated for h. pylori. Due to increasing symptoms and a recent history of early satiety, the patient underwent esophagogastroscopy. A large antral mass was seen and biopsy showed an invasive, poorly differentiated adenocarcinoma.
CT scan showed a large circumferential mass surrounding antrum and pylorus, and measuring up to 4cm in thickness. There was associated regional adenopathy. No evidence of extra-nodal metastasis was identified on CT.
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